Mekhoa ea ho tlosa polyp ka mpeng: li-polyps tsa pedunculated

Ha u tobane le stalk polyposis, litlhoko tse phahameng li behoa ho li-endoscopists ka lebaka la litšobotsi tsa anatomical le mathata a ts'ebetso ea lesion.

Sengoliloeng sena se hlalosa mokhoa oa ho ntlafatsa litsebo tsa ts'ebetso ea endoscopic le ho fokotsa mathata a ka morao ho ts'ebetso ka mehato e kang ho lokisa boemo le ho thibela ligation.

1. Maqeba a fetohang a HSP: maqeba a pedunculated

Bakeng sa maqeba a bakoang, hlooho ea leqeba e kholoanyane, tšusumetso ea matla a khoheli e bohlokoa haholo, e leng hangata e etsang hore ho be thata hore leraba le koahele pedicle ka nepo. Tabeng ena, phetoho ea boemo e ka sebelisoa ho ntlafatsa tšimo ea pono le ho fumana boemo bo botle ka ho fetisisa bakeng sa ts'ebetso, kahoo ho netefatsa ho nepahala ha ts'ebetso.

2. Kotsi ea ho tsoa mali le bohlokoa ba ho thibela ligation

Hangata kutu ea maqeba a pedunculated e tsamaisana le methapo ea mali e teteaneng, 'me ho tlosoa ka ho toba ho ka baka mali a mangata' me ho eketsa bothata ba hemostasis.

Litlhahiso tsa mekhoa ea ligation

Ho sebelisa Clip

Likarolo tse telele li lokela ho behoa haufi le setsi sa pedicle ka hohle kamoo ho ka khonehang ho tsamaisa ts'ebetso e latelang ea leraba. Ho phaella moo, pele ho resection, ho lokela ho netefatsoa hore leqeba le fetoha bofubelu bo lefifi ka lebaka la ho thibela mali, ho seng joalo likotoana tse eketsehileng li lokela ho ekeletsoa ho thibela ho phalla ha mali.

Tlhokomeliso: Qoba ho matlafatsa leraba le sekotwana nakong ea resection, kaha sena se ka baka kotsi ea ho phatloha.

 hemoclips

Ho Sebelisa Leraba

Ho bolokoa ha loop ea nylon ho ka kopanya pedicle ka ho feletseng, 'me ho ka thibela ho tsoa mali ka katleho le haeba pedicle e batla e le teteaneng.

Mekhoa ea ts'ebetso e kenyelletsa:

1. Atolosa selikalikoe sa nylon hore se be boholo bo fokolang ho feta bophara ba lesion (qoba ho atolosa ho feta);

2. Sebelisa endoscopy ho fetisa hlooho ea lesion ka loop ea nylon;

3. Ka mor'a ho netefatsa hore lesale la nylon le ka tlaase ho pedicle, ka hloko tiisa pedicle 'me u phethe ts'ebetso ea ho lokolloa.

Polyp leraba

Litlhokomelo tsa resection

K. Etsa bonnete ba hore lupu ea nylon ha e tšoasehe ka har'a lesela le potolohileng.

B. Haeba u tšoenyehile ka hore selikalikoe sa nylon se ka hare se tla oa, u ka eketsa sekoahelo botlaaseng ba sona kapa sebakeng sa resection ho thibela ho tsoa mali ka mor'a ts'ebetso.

3. Mehato e khethehileng ea ts'ebetso

(1) Litlhahiso tsa ho sebelisa li-clamp

Ho khethoa sekotwana se selelele mme se behiloe botlaaseng ba pedicle, ho netefatsa hore sekotwana ha se sitise ts'ebetso ea leraba.

Netefatsa hore leqeba le fetohile le lefubelu le lefifi ka lebaka la ho thibela mali pele u etsa opereishene ea resection.

(2) Litlhahiso tsa ho sebelisa lesale la nylon ea ho boloka

1. Atolosa selikalikoe sa nylon hore se be boholo hanyane ho feta bophara ba seso ho qoba ho buleha ho feta tekano.

2. Sebelisa endoscope ho fetisa hlooho ea leso ka har'a lupu ea nylon 'me u etse bonnete ba hore lupu ea nylon e tiile.

Ho pota-pota pedicle ka ho feletseng.

3. Butle-butle tiisa loop ea nylon 'me u tiise ka hloko hore ha ho na lesela le potolohileng le amehang.

4. Ka mor'a ho lokisoa pele, qetellong tiisa boemo 'me u phethe ho kopanya lesela la nylon.

(3) Thibelo ea ho tsoa mali ka mor'a ho buuoa

E le ho thibela ho oa ha lesale la nylon le lulang teng, likotoana tse eketsehileng li ka eketsoa motheong oa resection ho fokotsa kotsi ea ho tsoa mali ka mor'a ts'ebetso.

Kakaretso le litlhahiso

Tharollo tšusumetsong ea matla a khoheli: Ka ho lokisa boemo ba 'mele, sebaka sa pono se ka ntlafatsoa mme ts'ebetso e ka nolofalloa. Preventive ligation: Ho sa tsotellehe hore na u sebelisa sekotwana kapa reng ea nylon, e ka fokotsa ka katleho kotsi ea ho tsoa mali nakong ea ho buuoa le ka mor'a eona. Ts'ebetso e nepahetseng le tlhahlobo: Latela ka tieo ts'ebetso ea ts'ebetso le ho hlahloba ka nako ka mor'a ho buuoa ho netefatsa hore leqeba le tlosoa ka ho feletseng 'me ha ho na mathata.

We, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ke moetsi oa China ea sebetsanang le lisebelisoa tsa endoscopic, joalo kabiopsy forceps, hemoclips, polyp leraba, sclerotherapy nale, fafatsa catheter, borashe ba cytology, guidewire, seroto sa ho khutlisa lejoe, nasal biliary drainage catheterjoalo-joalo tse sebelisoang haholo hoEMR, ESD, ERCP. Lihlahisoa tsa rona li netefalitsoe ke CE, 'me limela tsa rona li netefalitsoe ke ISO. Thepa ea rona e rometsoe Europe, Amerika Leboea, Bochabela bo Hare le karolo ea Asia, 'me e fumana ho pharaletseng moreki oa kananelo le thoriso!